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COMMUNITY MEDICAL SERVICES PEWAUKEE
NPI 1215644356
Clinic/Center - Methadone in Pewaukee, WI

Active since October 28, 2022
1611 SILVERNAIL ROAD, PEWAUKEE, WI 53072(262) 304-0150(262) 933-4244 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2024, Feb 10, 2024, Oct 28, 2022 (3 updates tracked since 2022).

About Community Medical Services Pewaukee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY MEDICAL SERVICES PEWAUKEE (NPI 1215644356) is a healthcare organization registered as a methadone in Pewaukee, Wisconsin and active in the NPI registry since October 2022. The organization lists Cindy Gaither, Vp Of Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1215644356
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NamePREMIER CARE OF WISCONSIN, LLC.
Location Address1611 SILVERNAIL ROADPewaukee, WI 53072-5519
Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437 · (480) 494-2497 · Fax (480) 687-7361
Phone(262) 304-0150
Fax(262) 933-4244
Organization SubpartNo
Authorized OfficialCindy GaitherVp Of Revenue Cycle Management · (602) 248-8886
Enumeration DateOctober 28, 2022
Last NPPES UpdateSeptember 3, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1215644356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
1611 SILVERNAIL ROAD, Pewaukee, WI 53072
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Other Names 1

Doing Business AsCommunity Medical Services Pewaukee

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Care Of Wisconsin, LLC.'s NPI number?

The NPI number for Premier Care Of Wisconsin, LLC. is 1215644356. It was assigned to this organization in the NPPES registry on October 28, 2022. The provider is doing business as Community Medical Services Pewaukee.

Where is Premier Care Of Wisconsin, LLC. located?

Premier Care Of Wisconsin, LLC. is located at 1611 Silvernail Road, Pewaukee, WI 53072. The listed phone number is (262) 304-0150.

What is Premier Care Of Wisconsin, LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Premier Care Of Wisconsin, LLC. was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.